Stilamin in the Treatment of Lymphatic Leaks After Living-Related Renal Transplantation

He, Songlin; Song, Ting; Xie, Linlin; Fu, Lei; Huang, Zhongli; Lin, Tao

doi:10.1016/j.transproceed.2013.04.012

Cited by 6 publications

(2 citation statements)

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“…). Eighty‐seven articles met the inclusion criteria and were included in the report. Seventy‐six articles reported on lymphoceles only, four articles on lymphorrhoea, and seven articles on lymphocele and lymphorrhoea.…”

Section: Resultsmentioning

confidence: 99%

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Consensus on definition and severity grading of lymphatic complications after kidney transplantation

Mehrabi

Kulu

Sabagh

et al. 2020

British Journal of Surgery

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Background: The incidence of lymphatic complications after kidney transplantation varies considerably in the literature. This is partly because a universally accepted definition has not been established. This study aimed to propose an acceptable definition and severity grading system for lymphatic complications based on their management strategy. Methods: Relevant literature published in MEDLINE and Web of Science was searched systematically. A consensus for definition and a severity grading was then sought between 20 high-volume transplant centres.Results: Lymphorrhoea/lymphocele was defined in 32 of 87 included studies. Sixty-three articles explained how lymphatic complications were managed, but none graded their severity. The proposed definition of lymphorrhoea was leakage of more than 50 ml fluid (not urine, blood or pus) per day from the drain, or the drain site after removal of the drain, for more than 1 week after kidney transplantation. The proposed definition of lymphocele was a fluid collection of any size near to the transplanted kidney, after urinoma, haematoma and abscess have been excluded. Grade A lymphatic complications have a minor and/or non-invasive impact on the clinical management of the patient; grade B complications require non-surgical intervention; and grade C complications require invasive surgical intervention.Conclusion: A clear definition and severity grading for lymphatic complications after kidney transplantation was agreed. The proposed definitions should allow better comparisons between studies.

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Section: Resultsmentioning

confidence: 99%

“…In 52 articles (60 per cent), management of lymphoceles was surgical: 50 per cent equal numbers of laparoscopic and open procedures, 12 per cent only laparoscopic and 2 per cent only open surgery; 36 per cent of papers did not specify the surgical method. The use of sclerotherapy for lymphorrhoea was reported in two articles.…”

Section: Resultsmentioning

confidence: 99%